Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jennifer Diane Caccavo, MSCCC/SLP

Individual provider Speech-Language Pathologist · NPI 1437460110

Mrs. Jennifer Diane Caccavo, MSCCC/SLP is a Speech-Language Pathologist in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010
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Practice location Address checks out

905 Annadale Rd
Staten Island, NY 10312-4010
Phone: (718) 984-5826
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 010990-1 (NY)

Record details

NPI number1437460110
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC/SLP
Sole proprietorYes
NPI enumeratedJune 28, 2010
Last updated in NPPESJune 28, 2010

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